Comments for My Strong Medicine

Comment on Tube Feeding folklore by Courtney

Courtney — Wed, 15 Feb 2012 04:03:56 +0000

I work in Paeds so tube feeds are very common. We often nurse initiate inserting an NG and commencing NG feeds.

Comment on Forward thinking health care professionals?? by Sean

Sean — Sun, 29 Jan 2012 23:14:56 +0000

Yes, it is a shame.

Comment on Forward thinking health care professionals?? by elise

elise — Sun, 29 Jan 2012 19:27:27 +0000

This guy sounds like some of the docs i hate to deal with. If they have an NP on their team who doesn’t mind speaking to patients, explaining things and showing general human decency, the ‘crap’ i think this guy is referring to, then it makes a good partnership. If the doc is competent in some other aspect of care.

Comment on Forward thinking health care professionals?? by Sean

Sean — Sun, 29 Jan 2012 12:34:17 +0000

I’m still learning. The physician in question was not that ‘old’ unfortunately. What is the ideal term that you use instead of mid-level provider?

Thanks for commenting!!

Comment on Forward thinking health care professionals?? by NPs Save Lives

NPs Save Lives — Sun, 29 Jan 2012 04:50:31 +0000

Please!!!! Try not to refer to yourself as a “Mid Level Provider” as this perpetuates the mistaken idea that we are substandard medical providers. I would love to know the age of the physicians that still have those opinions? Most doctors that are younger are not misguided by what we do, in fact, most are really receptive.

Comment on Tube Feeding folklore by Sean

Sean — Fri, 27 Jan 2012 22:48:32 +0000

Hopefully there either off the TF, or maybe transitioning. Tough either way.

Comment on Tube Feeding folklore by Nicole, BSN, RN (@moonischasingme)

Nicole, BSN, RN (@moonischasingme) — Fri, 27 Jan 2012 22:45:52 +0000

I think it works okay while in the ICU because as nurses, we’re usually in that patient’s room pretty much all the time. However, when they move to the floors, I have to wonder how much longer they will be sitting/laying in their own stool because the nurses are much busier.

Comment on Tube Feeding folklore by Sean

Sean — Fri, 27 Jan 2012 13:46:46 +0000

That’s a great point, even with the frustrating result of diarrhea� we have to provide nutrition and keep their gut active. It’s definitely a challenge to say the very least.

Comment on Tube Feeding folklore by Sean

Sean — Fri, 27 Jan 2012 13:45:42 +0000

Besides the obvious secondary complications (skin care), I’m learning that the diarrhea is not a contraindication. Things that make you go hmm..

Comment on Tube Feeding folklore by Nicole, BSN, RN (@moonischasingme)

Nicole, BSN, RN (@moonischasingme) — Fri, 27 Jan 2012 13:44:08 +0000

It definitely happens to all of our patients. Our physicians implement feeds pretty early on via small bowel feeding tubes, and it’s just expected that there will be loose stools, but it’s never discussed to the point of not initiating nutrition! If it gets really bad, we usually put in a dignacare.